The following is a collection of
featured adult cardiac articles in press from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue,
browse the feature video library and other journal
highlights please visit www.jtcvs.org
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deficit after 1114 extent II open thoracoabdominal aortic
Joseph S. Coselli,
MD, Susan Y. Green, MPH, Matt D. Price, MS, RHIA,
Qianzi Zhang, MPH, Ourania Preventza, MD, Kim I. de la
Cruz, MD, Richard Whitlock, MD, Hiruni S. Amarasekara,
MS, Sandra J. Woodside, BA, Andre Perez-Orozco, BS,
Scott A. LeMaire, MD
or paraplegia after extent II TAAA repairs remains
concerning; 7.7% of patients develop persistent spinal
cord deficit, a complication associated with poorer
Surgical repair of thoracoabdominal aortic
aneurysm—Still room for improvement
Open TAA repair is still associated
with a relevant incidence of spinal cord damage.
This article, which points out mechanisms for
potential improvement, will be the benchmark for
the coming years.
Charting the course of cardiac care pings
Svensson, MD, PhD
Another landmark ping has been added
to the course of cardiac surgery.
repair with frozen elephant trunk using the 'Zone-0 arch
repair' strategy for type A acute aortic dissection
Hiroshi Yamamoto, MD,
PhD,Takayuki Kadohama, MD, PhD, Gembu Yamaura, MD, PhD,
Fuminobu Tanaka, MD, Daichi Takagi, MD, Kentaro Kiryu,
MD, Yoshinori Itagaki, MD
arch repair” consisting of FET deployment from the
zone-0 aorta, ascending aortic replacement, and arch
vessel reconstruction, is straightforward and produces
satisfactory late results.
Moving the goalposts in arch replacement
DeAnda, Jr, MD
Since it was first described by Hans
Borst in 1983, the elephant trunk procedure has
undergone a number of modifications that have
extended its applicability and ease of
Staying out of trouble—Zone-0 frozen elephant trunk and
arch debranching for type A aortic dissection
Assi, MD, MMS, Pavan Atluri, MD
Zone 0 frozen elephant trunk and
arch debranching for type A acute aortic dissection
is another tool in the surgeon's armamentarium.
Prosthetic Aortic Valves in the United States among
Elderly Medicare Patients from 2006 to 2015
Dongyi (Tony) Du, MD, PhD, Xiaoxiao
Lu, MD, PhD, MPH, Stephen McKean, PhD, Rob Warnock, BA,
John Laschinger, MD, Nilsa Loyo-Berríos, PhD, MS,
Danica Marinac-Dabic, MD, PhD, MMSc
dramatic regional difference was observed in the choice
of prosthetic aortic valves across the nation.
Is There a Carbon Tax on Prosthetic Heart Valves?
C. Cleveland Jr., MD
Use of a mechanical valve
replacement for aortic valve replacement in
Medicare-age patients continues to decline.
Geographic variation exists in the selection of
valves in this population.
“Location, location, location”—A motto surgeons need
Quin, MD, MPH
Geographic variations in practice
and outcomes deserve closer examination; choice of
valve type for elderly patients undergoing aortic
valve replacement appears to be no exception.
VALVE DISEASE: ENDOCARDITIS
infiltration in structural heart valve disease
Andreas Oberbach, MD,
PhD, DrPH, Maik Friedrich, MD, PhD, MSc, Stefanie
Lehmann, PhD, MPH, MSc, Nadine Schlichting, PhD, MSc,
Yvonne Kullnick, MSc, Sandra Gräber, PHY, Tilo
Buschmann, PhD, Christian Hagl, MD, Erik Bagaev, MD
microbiological and molecular biological investigations
are necessary to detect the polymicrobial spectrum of
bacteria in calcified heart valve tissue of patients
There's bacteria in them thar valves
A. Baciewicz Jr., MD
Multiple bacteria were demonstrated
in 14 out of 25 nonendocarditic excised calcified
valves. If confirmed, this finding may change
Bacterial infiltration in structural heart valve
disease: Do these new insights have profound
Sadeque, MBBS, FRCS(CTh), Clifford William Barlow,
Microbiologic and molecular biologic
investigations may detect a polymicrobial spectrum
of bacteria in apparently uninfected calcified
heart valve tissue, including some endocarditis
Cardiopulmonary Bypass Duration with Acute Renal Failure
after Cardiac Surgery
Andrea L. Axtell, MD, Amy G.
Fiedler, MD, Serguei Melnitchouk, MD, MPH, David A.
D'Alessandro, MD, Mauricio A. Villavicencio, MD, MBA,
Arminder S. Jassar, MD, Thoralf M. Sundt III, MD
of postoperative renal failure rises continuously with
time on bypass, particularly among those with
preoperative impairment. For those with a GFR less than
30 the risk rises exponentially.
Hurry up while you are operating…or, better, plan
carefully before you start
A. Deja, MD, PhD
In a patient with low eGFR, the
operation should be tailored with the steep
relationship of cardiopulmonary bypass time and the
risk of postoperative acute renal failure in mind.
The Perils of the Pump
Jacob, MD, Kevin P. Landolfo, MD, MSc
Acute renal failure is a highly
morbid complication. Cardiopulmonary bypass
duration is linked to development of acute renal
failure in a dose-dependent manner.
Total arch repair with frozen elephant
trunk using the 'Zone-0 arch repair' strategy for type A
acute aortic dissection
Video Legend: Repair of arch
dissection with a FET from zone 0